401k Plan data: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN plan

ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN
Plan identification number	001

ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Life insurance

401k Sponsoring company profile

ROCKY MOUNTAIN MEDICAL SERVICE, P.C. has sponsored the creation of one or more 401k plans.

Company Name: ROCKY MOUNTAIN MEDICAL SERVICE, P.C.

Employer identification number (EIN): 810363017

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 THOMAS RINGO THOMAS RINGO 2015-08-10
001 2013-01-01 THOMAS RINGO
001 2012-01-01 THOMAS RINGO
001 2011-01-01 THOMAS E RINGO
001 2010-01-01 THOMAS RINGO THOMAS RINGO 2011-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	THOMAS RINGO	THOMAS RINGO	2015-08-10
001	2013-01-01	THOMAS RINGO
001	2012-01-01	THOMAS RINGO
001	2011-01-01	THOMAS E RINGO
001	2010-01-01	THOMAS RINGO	THOMAS RINGO	2011-10-11

Plan Statistics for ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 15
Total of all active and inactive participants 2013-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 18
Number of participants with account balances 2013-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 97
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 57
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 37
Total of all active and inactive participants 2012-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 94
Number of participants with account balances 2012-01-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 60
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 35
Total of all active and inactive participants 2011-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 95
Number of participants with account balances 2011-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 96
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 59
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 33
Total of all active and inactive participants 2010-01-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 92
Number of participants with account balances 2010-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2014: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	15
Total of all active and inactive participants	2013-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	18
Number of participants with account balances	2013-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	57
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	37
Total of all active and inactive participants	2012-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	94
Number of participants with account balances	2012-01-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	60
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	35
Total of all active and inactive participants	2011-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	95
Number of participants with account balances	2011-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	96
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	59
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	33
Total of all active and inactive participants	2010-01-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	92
Number of participants with account balances	2010-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-10-31	$27,796
Expenses. Total of all expenses incurred	2014-10-31	$987,473
Benefits paid (including direct rollovers)	2014-10-31	$986,367
Total plan assets at end of year	2014-10-31	$0
Total plan assets at beginning of year	2014-10-31	$959,677
Value of fidelity bond covering the plan	2014-10-31	$500,000
Expenses. Other expenses not covered elsewhere	2014-10-31	$1,106
Other income received	2014-10-31	$27,796
Net income (gross income less expenses)	2014-10-31	$-959,677
Net plan assets at end of year (total assets less liabilities)	2014-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-10-31	$959,677
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-10-31	$0
2013 : ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$437,036
Expenses. Total of all expenses incurred	2013-12-31	$3,581,442
Benefits paid (including direct rollovers)	2013-12-31	$3,573,773
Total plan assets at end of year	2013-12-31	$959,677
Total plan assets at beginning of year	2013-12-31	$4,104,083
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$7,434
Expenses. Other expenses not covered elsewhere	2013-12-31	$8,079
Other income received	2013-12-31	$354,744
Net income (gross income less expenses)	2013-12-31	$-3,144,406
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$959,677
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$4,104,083
Total contributions received or receivable from employer(s)	2013-12-31	$74,858
Value of certain deemed distributions of participant loans	2013-12-31	$-410
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$539,318
Expenses. Total of all expenses incurred	2012-12-31	$65,132
Benefits paid (including direct rollovers)	2012-12-31	$55,993
Total plan assets at end of year	2012-12-31	$4,104,083
Total plan assets at beginning of year	2012-12-31	$3,629,897
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$135,441
Expenses. Other expenses not covered elsewhere	2012-12-31	$9,339
Other income received	2012-12-31	$332,633
Net income (gross income less expenses)	2012-12-31	$474,186
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$4,104,083
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,629,897
Assets. Value of participant loans	2012-12-31	$8,202
Total contributions received or receivable from employer(s)	2012-12-31	$71,244
Value of certain deemed distributions of participant loans	2012-12-31	$-200
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$230,775
Expenses. Total of all expenses incurred	2011-12-31	$23,568
Benefits paid (including direct rollovers)	2011-12-31	$17,589
Total plan assets at end of year	2011-12-31	$3,629,897
Total plan assets at beginning of year	2011-12-31	$3,422,690
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$143,212
Expenses. Other expenses not covered elsewhere	2011-12-31	$5,979
Contributions received from other sources (not participants or employers)	2011-12-31	$1,100
Other income received	2011-12-31	$12,269
Net income (gross income less expenses)	2011-12-31	$207,207
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,629,897
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,422,690
Assets. Value of participant loans	2011-12-31	$10,610
Total contributions received or receivable from employer(s)	2011-12-31	$74,194
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$466,864
Expenses. Total of all expenses incurred	2010-12-31	$129,241
Benefits paid (including direct rollovers)	2010-12-31	$127,179
Total plan assets at end of year	2010-12-31	$3,422,690
Total plan assets at beginning of year	2010-12-31	$3,085,067
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$144,382
Expenses. Other expenses not covered elsewhere	2010-12-31	$2,062
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$246,327
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$337,623
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,422,690
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$3,085,067
Assets. Value of participant loans	2010-12-31	$10,466
Total contributions received or receivable from employer(s)	2010-12-31	$76,155
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN

2014: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ROCKY MOUNTAIN MEDICAL SERVICE 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

W580518

Policy instance

Insurance contract or identification number	W580518
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $70
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $70
Insurance broker organization code?	3
Insurance broker name	DANIEL FINANCIAL SERVICES, INC.

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

W580518

Policy instance

Insurance contract or identification number	W580518
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $83
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	ROCKY MOUNTAIN MEDICAL SERVICE, P.C.
Employer identification number (EIN):	810363017
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)